Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.53 / $399.67 / $436.78	Professional		$387.53	$399.67	$436.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $161.09 / $178.63 / $206.90	Professional	26	$161.09	$178.63	$206.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $170.34 / $192.77 / $209.01	Professional	TC	$170.34	$192.77	$209.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.55 / $292.39 / $449.84	Professional		$172.55	$292.39	$449.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.16 / $326.16 / $527.69	Professional		$326.16	$326.16	$527.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $153.56 / $153.56 / $246.22	Professional	26	$153.56	$153.56	$246.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $172.60 / $172.60 / $281.45	Professional	TC	$172.60	$172.60	$281.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $389.76 / $469.39 / $695.86	Facility		$389.76	$469.39	$695.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $208.74 / $419.70 / $5,718.36	Professional		$208.74	$419.70	$5,718.36
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $111.30 / $185.50 / $1,098.38	Professional	26	$111.30	$185.50	$1,098.38
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $97.44 / $248.58 / $2,229.25	Professional	TC	$97.44	$248.58	$2,229.25
United Facility/Professional Professional Modifier Low / Median / High Price $208.74 / $347.90 / $618.14	Professional		$208.74	$347.90	$618.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $111.30 / $117.12 / $308.95	Professional	26	$111.30	$117.12	$308.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $97.44 / $194.88 / $414.30	Professional	TC	$97.44	$194.88	$414.30